Regina Porch

NPI #1427450113 in Midland, Georgia

Provider Information

NPI Number
1427450113
Entity Type
Individual
Name
Regina Porch
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Sep 24, 2014
Last Updated
Sep 24, 2014

Practice Location

Address
9021 VETERANS PKWY
State
Georgia
ZIP Code
31820-3411
Phone
(706) 660-9926

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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